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General NPI Number Information
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NPI Number | 1932441425
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Entity Type | Individual
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Provider Name | ESTHER SOUYON PARK M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/22/2013
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Last Update Date | 10/27/2023
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Provider Practice Location Address
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Address Line | 11845 W OLYMPIC BLVD STE 900W
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City | LOS ANGELES
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State | CA
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Zip | 90064-5086
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Country | US
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Telephone | 424-272-7502
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Fax |
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Provider Business Mailing Address
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Address Line | 690 VETERAN AVE APT 215
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City | LOS ANGELES
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State | CA
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Zip | 90024-1935
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Country | US
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Telephone | 443-480-7255
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 143191
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License Number State | CA
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